[Anesthesia in videolaparoscopic cholecystectomy. Our experience]. / Anestesia in videolaparocolecistectomia. Nostra esperienza.

In this work authors describe physiopathological problems and possible complications relative to intraperitoneal insufflation in videolaparoscopic-surgery. Furthermore they illustrate the anesthesiologic protocol executed by themselves in videolaparoscopic cholecystectomy, and they describe results obtained following their anesthesiologic technique of the grounds of a retrospective study on 88 patients treated by videolaparoscopic cholecystectomy.

[Caudal anesthesia in proctological surgery]. / L'anestesia caudale in chirurgia proctologica.

The technique and advantages of caudal peridural anesthesia for proctology surgery are reported. The scarce invasivity of this methodology, the scarce or lack of interference with respiratory and cardiocirculatory functionality, the good analgesic effect postoperatively in our patients operated for proctology pathology, established the reason why we consider caudal analgesia particularly indicated for proctology surgery.

[Day Surgery. Five years of experience and activity]. / Day Surgery. Nostra esperienza dopo 5 anni di attività

BACKGROUND: The aim of this paper is to evaluate the management of an integrated unit of Day Surgery in a General Surgery Department. METHODS: An outline of the first 5 years of activity is presented. Setting of investigation: little provincial hospital. Patients have been selected on a basis of Day Surgery specific features: a total of 1,294 patients. Pathologies treated: inguinal hernias, phlebectasias, phimosis, borsitis, arthritic cysts, tendon cysts, carpal tunnel, Dupuytren's disease ("crispatura tendinum"), lymphadenitis, mammary nodules, hemorrhoids, hydroceles, varicoceles, adipomas. Patients' selection parameters, surgical operation type and modalities, postoperative course, protected discharges from hospital, follow-up and complications have all been carefully recorded. RESULTS: The most numerous operations were related to hernial pathology (54.32%) and to adipomas (10.81%). The form of anesthesia was mainly loco-regional. Only 4 cases (0.3%) had to be hospitalized for the night after operation. COMPLICATIONS: 1 serious wound infection, needing removal of the hernial prosthesis; 1 painful "tumefaction" on the inguinal wound for hernioplastic operation; 3 "seromas" in inguinal hernioplastics. CONCLUSIONS: Advantages of Day-Surgery: cut in health costs due to the reduction of admissions to hospital; reduction in hospital infections and in surgical wounds; reduction in drug use; thinning of waiting lists; increase of available beds for other pathologies; reduction of disability days; high appreciation index.

[Lumbosacral plexus block by the paravertebral route]. / Bloc du plexus lombosacré par voie paravertébrale.

The authors present a detailed account of a technique of peripheric anesthesia of the lower limb, obtained with a single transcutaneous injection, blocking lumbar and sacral plexus, by a paravertebral way. Encouraging results have been reached in the treatment of both old (no cerebral or cardiorespiratory depressant effects) and young patients, which are frequently under day-hospital treatment. According to their experience, this technique is simple, easy to perform and less dangerous if compared to anesthesia obtained by spinal approach.